NPIMap

Organization Active NPI

The Village Health Foundation Inc

  • Health Service Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1609129592
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
AC6736 Issued in CA
Legal business name
THE VILLAGE HEALTH FOUNDATION INC
Practice address
4073 W Pico Blvd
Los Angeles, CA 90019-4308
Phone
(323) 733-0471
Fax
(323) 733-6427
NPI assigned
Oct 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Jewel Thais-Williams, LIC. ACUPUNTURIST
Title
Founding Ceo
Phone
(323) 733-0471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X AC6736 CA Primary

Addresses

Primary practice location

4073 W Pico Blvd
Los Angeles, CA 90019-4308

Mailing address

4073-75 West Pico Boulevard
Los Angeles, CA 90019-4308
Phone (323) 733-0471

National Provider Directory

National Provider Directory
Tax ID family
The Village Health Foundation Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4073 W Pico Blvd
Los Angeles, CA 90019
Phone (323) 733-0471

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1609129592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4073-75 WEST PICO BOULEVARD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194308",
            "telephone_number": "323-733-0471",
            "fax_number": "323-733-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4073 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194308",
            "telephone_number": "323-733-0471",
            "fax_number": "323-733-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE HEALTH FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "THAIS-WILLIAMS",
        "authorized_official_first_name": "JEWEL",
        "authorized_official_title_or_position": "FOUNDING CEO",
        "authorized_official_telephone_number": "323-733-0471",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LIC. ACUPUNTURIST"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "AC6736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.